IndividualActive
Jon Waxham, PT
NPI 1003993437 · Physical Therapist · Milford, DE
Provider details
- NPI number
- 1003993437
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- J1-0003038 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1004 N Walnut St
Milford, DE 19963-1244
Phone: (302) 503-0440
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Industrial Dr Ste 210
Middletown, DE 19709-2803
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.